ST. ANDREWS SCOTS SR. SEC. SCHOOL
9th Avenue,I.P.Extension
(Patparganj), Delhi-110092
Ph: 22241167, 22231023
Email: standrewsdelhi@gmail.com
Website: http://www.standrewsdelhi.com

REGISTRATION FORM FOR NURSERY/PREP ADMISSION (2022-2023)

PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE FILLING UP THE REGISTRATION FORM:

Child's Image*

Mother's Image*

Father's Image*

CHILD FIRST NAME: Enter First Name

CHILD MIDDLE NAME:

CHILD LAST NAME:

APPLIED FOR CLASS: Select Class

GENDER:

BOY

GIRL

Select Gender

DATE OF BIRTH:

Enter Date Of Birth

FATHER'S NAME: Enter Father Name

MOTHER'S NAME: Enter Mother Name

RESIDENTIAL ADDRESS (PERMANENT): Enter Residential Address

MOTHER'S MOBILE NO.

FATHER'S MOBILE NO. Enter Phone Number

HOME (LANDLINE).

OFFICE (LANDLINE).

MOTHER TONGUE: Enter Language

DISTANCE FROM SCHOOL:

0-6 KM

6-8 KM

8KM & ABOVE

Select One Option

MEDICAL INFORMATION: DOES THE CHILD HAS ANY SPECIAL MEDICAL NEED:

YES

Select One Option IF YES GIVE DETAILS

TRANSPORT: IS THE SCHOOL TRANSPORT REQUIRED?

YES

(TICK WHICHEVER IS APPLICABLE) Select One Option

Agree and Continue Required*

WE HEREBY CERTIFY THAT THE ABOVE INFORMATION PROVIDED BY US IS CORRECT AND WE UNDERSTAND AND ACCEPT THAT IF INFORMATION IS FOUND TO BE INCORRECT OR FALSE, OUR WARD SHALL BE AUTOMATICALLY DEBARRED FROM SELECTION/ADMISSION PROCESS WITHOUT ANY CORRESPONDENCE IN THIS REGARD. WE ALSO UNDERSTAND THAT THE APPLICATION/ REGISTRATION / SHORT LISTING DOES NOT GUARANTEE ADMISSION TO MY WARD. WE ACCEPT THE PROCESS OF ADMISSION UNDERTAKEN BY SCHOOL AND WILL ABIDE BY THE DECISION TAKEN BY THE SCHOOL AUTHORITIES.